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Stephanie Crachiolo

Behavior Technician in Bridgeport, MI. Individual provider (NPI-1).

NPI number1760190318
StatusActive
Last updated in NPPESNov 14, 2022

Details

NPI
1760190318
Entity type
Individual (NPI-1)
Name
Stephanie Crachiolo
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 14, 2022
Certification date
Nov 13, 2022
Last updated
Nov 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655

Phone 989-401-1239

Mailing address

5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450

Phone 989-401-2244

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